Three-dimensional distribution of ST-T wave alternans during acute ischemia

Journal of Cardiovascular Electrophysiology

Volumn 8, Issue 12, 1997, Pages 1413-1419

  Green, Larry S ^a,b   Fuller, Michael P ^a   Lux, Robert L ^a  

^a UNIVERSITY OF UTAH SCHOOL OF MEDICINE   (United States)

^b UNIVERSITY OF UTAH   (United States)

Author keywords

Repolarization; ST T alternans; Transient ischemia; Ventricular fibrillation

Indexed keywords

ANIMAL EXPERIMENT; ANIMAL MODEL; ARTICLE; CONTROLLED STUDY; DOG; FEMALE; HEART MUSCLE ISCHEMIA; HEART REPOLARIZATION; HEART VENTRICLE FIBRILLATION; MALE; NONHUMAN; PREDICTION; PRIORITY JOURNAL; QRS COMPLEX; ST SEGMENT; T WAVE;

EID: 0031468112     PISSN: 10453873     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1540-8167.1997.tb01038.x     Document Type: Article

References (21)

1. Hellerstein HK, Liebow IM: Electrical alternation in experimental coronary artery occlusion. Am J Physiol 1950;160:366-374.
2. Joyal M, Feldman RL, Pepine CJ: ST-segment alternans during percutaneous transluminal coronary angioplasty. Am J Cardiol 1984;54:915-916.
3. Salerno JA, Previtali M, Panciroli, et al: Ventricular arrhythmias during acute myocardial ischaemia in man: The role and significance of R-STTA and the prevention of ischaemic sudden death by medical treatment. Eur Heart J 1986;7(Suppl A):63-75.
4. Puletti M, Curione M, Righetti G, et al: Alternans of the ST segment and T wave in acute myocardial infarction. J Electrocardiol 1980;13:297-300.
5. Cheng TC: Electrical alternans: An association with coronary artery spasm. Arch Intern Med 1983;143: 1052-1053.
6. Kleinfeld MJ, Rozanski JJ: Alternans of the ST segment in Prinzmetal's angina. Circulation 1977;55: 574-577.
7. Schwartz PJ, Malliani A: Electrical alternation of the T wave: Clinical and experimental evidence of its relationship with the sympathetic nervous system and the long Q-T syndrome. Am Heart J 1975;89:45-50.
8. Wayne VS, Bishop RL, Spodick DH: Exercise-induced ST segment alternans. Chest 1983;83:824-825.
9. Shimoni Z, Flatau E, Schiller D, et al: Electrical alternans of grant U waves with multiple electrolyte deficits. Am J Cardiol 1984;56:920-921.
10. Konta T, Ikeda K, Yamaki M, et al: Significance of discordant ST alternans in ventricular fibrillation. Circulation 1990;82:2185-2189.
11. Rosenbaum DS, Jackson LE, Smith JM, et al: Electrical alternans and vulnerability to ventricular arrhythmias. N Engl J Med 1994;330:235-241.
12. Carson DL, Cardinal R, Savard P, et al: Characterization of unipolar waveform alteration in acutely ischaemic porcine myocardium. Cardiovasc Res 1986;20:521-527.
13. Russell DC, Smith HJ, Oliver MD: Transmembrane potential changes and ventricular fibrillation during repetitive myocardial ischemia in the dog. Br Heart J 1979;42:88-92.
14. Lee H, Mohabir R, Smith N, et al: Effect of ischemia on calcium dependent fluorescence transients in rabbit hearts containing indo 1. Circulation 1988;78: 1047-1049.
15. Litovsky SH, Antzelevitch C: Transient outward current prominent in canine ventricular epicardium but not endocardium. Circ Res 1988;62:116-126.
16. Litovsky SH, Antzelevitch C: Rate dependence of action potential duration and refractoriness in canine ventricular endocardium differs from that of epicardium: Role of the transient outward current. J Am Coll Cardiol 1989;14:1058-1066.
17. Gilmour R, Zipes D: Different electrophysiological responses of canine endocardium and epicardium to combined hyperkalemia, hypoxia and acidosis. Circ Res 1980;46:814-825.
18. Kimura S, Bassett A, Kohya T, et al: Simultaneous recording of action potentials from endocardium and epicardium during ischemia in the isolated cat ventricle: Relation of temporal electrophysiologic heterogeneities to arrhythmias. Circulation 1986;74:401-409.
19. Lukas A, Antzelevitch C: Differences in the electrophysiological response of canine ventricular epicardium and endocardium to ischemia: Role of the transient outward current. Circulation 1993;88:2903-2915.
20. Lukas A, Antzelevitch C: Phase 2 reentry as a mechanism of initiation of circus movement reentry in canine epicardium exposed to simulated ischemia. Cardiovasc Res 1996;32:593-603.
21. Lux RL, Ershler PR, Green LS: Morphology and dynamics of STT wave alternans observed during induced changes in electrophysiologic state. PACE 1996;19:704.